Port device including retractable endoscope cleaner

ABSTRACT

A surgical apparatus includes a housing member having leading and trailing ends that define a longitudinal axis. One or more ports longitudinally extend between the leading and trailing ends, and are configured and adapted to receive a surgical instrument therein in a substantially sealed relation. At least one cleaning port longitudinally extends between the leading and trailing ends, and is configured and adapted to receive a cleaning device therein. The cleaning device is configured and adapted to clean surgical instruments positioned within the one or more ports without necessitating removal of the surgical instruments from the one or more ports.

CROSS-REFERENCE TO RELATED APPLICATIONS

The present application is a continuation of U.S. patent applicationSer. No. 14/185,319, filed on Feb. 20, 2014, which is a continuation ofU.S. patent application Ser. No. 13/223,332, filed on Sep. 1, 2011, nowU.S. Pat. No. 8,668,642, which claims the benefit of and priority toU.S. Provisional Application Ser. No. 61/416,497, filed on Nov. 23,2010, the entire contents of each of which are incorporated herein byreference.

BACKGROUND

1. Technical Field

The present disclosure relates generally to a surgical portal apparatusfor use in a minimally invasive surgical procedure. More particularly,the surgical portal apparatus includes a cleaning device to facilitatein situ cleaning of surgical instruments placed within the surgicalportal apparatus.

2. Background of Related Art

Today, many surgical procedures are performed through small incisions inthe skin, as compared to the larger incisions typically required intraditional procedures, in an effort to reduce both trauma to thepatient and recovery time. Generally, such procedures are referred to as“endoscopic”, unless performed on the patient's abdomen, in which casethe procedure is referred to as “laparoscopic”. Throughout the presentdisclosure, the term “minimally invasive” should be understood toencompass both endoscopic and laparoscopic procedures.

During a typical minimally invasive procedure, surgical objects, such assurgical access devices, e.g., trocar and cannula assemblies, orendoscopes, are inserted into the patient's body through the incision intissue. A typical surgical object, such as a laparoscope includes: ahousing, an elongated viewing portion shaft extends from one end of thehousing, and a viewing portion that is provided in the distal end of theviewing portion shaft. A camera viewfinder extends from the other end ofthe housing. A camera is connected to the housing and transmits imagessighted through the viewing portion to a television monitor on which theimages are displayed. During a surgical procedure, the distal endportion of the viewing portion shaft is extended into an incision in thepatient's abdominal wall, while the proximal end portion of the viewingportion shaft, the housing and the camera viewfinder remain outside thepatient.

During insertion of an endoscope or a laparoscope into the body andduring the surgical procedure, debris, e.g., organic matter and moisturemay be deposited on the viewing portion of the endoscope. The buildup ofdebris and/or moisture on the viewing portion impairs visualization ofthe surgical site, and often necessitates cleaning of the viewingportion. Cleaning of the instruments often necessitates removal of theinstruments from the surgical site, thereby increasing the time requiredto perform the surgical procedure.

SUMMARY

Disclosed herein is a surgical portal apparatus that facilitates in situcleaning of surgical instruments introduced within a surgical sitethrough the surgical portal apparatus. The surgical portal apparatusincludes a cleaning device and a housing member. The housing memberincludes a leading portion, a trailing portion, and an intermediateportion. The intermediate portion is disposed between the leading andthe trailing portions. One or more ports extend longitudinally betweenthe leading and the trailing portions. The one or more ports areconfigured and adapted to receive a surgical instrument. At least onecleaning port extends between the leading and trailing portions. The atleast one cleaning port is configured and adapted to receive, e.g., holdor store, a cleaning device. The cleaning device is configured andadapted to clean, e.g., remove debris and/or moisture, the surgicalinstrument.

The cleaning device may include an elongated shaft having proximal anddistal ends and a cleaning element. The cleaning element is coupled tothe distal end of the elongated shaft. The at least one cleaning port isconfigured and adapted to receive the elongated shaft therein. The atleast one cleaning port defines a longitudinal axis, and the cleaningdevice may be translatable along the longitudinal axis and/or rotatableabout the longitudinal axis.

The cleaning element of the cleaning device may be transitionablebetween compressed and expanded conditions. The cleaning elements may bebiased toward the expanded condition. In an embodiment, the cleaningelement may define a longitudinal axis and include one or more wings.The wings may be transitionable between a first condition in which thewings are folded toward the longitudinal axis, and a second condition inwhich the wings are substantially orthogonal to the longitudinal axis.In the second condition, in which the wings are substantially orthogonalto the longitudinal axis, the wings are in greater proximity to thesurgical instrument. For example, where the surgical instrument is aviewing instrument, the wings may contact the viewing portion of theviewing instrument.

In an embodiment, a surgical portal apparatus includes a housing memberand an inner member. The housing member includes an expandable materialthat is adapted to transition between a compressed condition and anexpanded condition. In the expanded condition, an outer surface of thehousing member is adapted for a substantial sealing relationship withtissue upon insertion of the housing member within the tissue foraccessing an underlying tissue site. The housing member has leading andtrailing ends that define a longitudinal axis. The housing memberdefines a longitudinal passage for accommodating the inner membertherein.

The inner member is operably associated with the housing member andincludes one or more longitudinal ports extending therethrough adaptedfor substantially sealed reception of a surgical object. The innermember further includes a longitudinal cleaning port adapted to store acleaning device. The cleaning device is configured to remove debris fromthe surgical object such as an endoscope viewing portion. The cleaningdevice may rotate about the longitudinal axis of the housing member. Inembodiments, the cleaning device may include an elongated shaft having afirst end and a second end. The first end is coupled to a handle and thesecond end is coupled to a cleaning element.

In embodiments, the inner member and the housing member may be disposedin substantially sealed relationship. One or both of the inner memberand the housing member may be comprised of an elastomeric material.

These and other embodiments of the present disclosure will be now bedescribed with reference to the accompanying figures.

BRIEF DESCRIPTION OF THE DRAWINGS

Various embodiments of the present disclosure are described hereinbelowwith reference to the drawings, wherein:

FIG. 1 is a perspective view of a surgical portal apparatus including acleaning device;

FIG. 2A is a cross-sectional view of the surgical portal apparatus ofFIG. 1 including the cleaning device of FIG. 1, taken along section line2A-2A, shown in a first condition;

FIG. 2B is a cross-sectional view of the surgical portal apparatus ofFIG. 1 including the cleaning device of FIG. 1, taken along section line2A-2A, shown in a second condition;

FIG. 3 is a side view of the cleaning device of FIG. 1;

FIG. 3A is a side view or another embodiment of a cleaning device;

FIG. 4 is a cross-sectional view of another embodiment of a surgicalportal apparatus including another embodiment of a cleaning deviceinserted therein and shown in a first retracted condition;

FIG. 5 is a cross-sectional view of the surgical portal apparatus ofFIG. 4 including the cleaning device of FIG. 4 shown in a deployedcondition;

FIG. 6 is a cross-sectional view of the surgical portal apparatus ofFIG. 4 including the cleaning device of FIG. 4 shown in a secondretracted condition;

FIG. 7 is a perspective view of a surgical portal apparatus having ahousing member and an inner member in accordance with an embodiment ofthe present disclosure;

FIG. 8 is a perspective view of the housing member of the surgicalportal apparatus of FIG. 4 with the inner member removed; and

FIG. 9 is a perspective view of the inner member of the surgical portalapparatus of FIG. 1 in accordance with the present disclosure.

DETAILED DESCRIPTION OF EMBODIMENTS

Particular embodiments of the present disclosure will be describedherein with reference to the accompanying drawings. As shown in thedrawings and as described throughout the following description, and asis traditional when referring to relative positioning on an object, theterm “proximal” or “trailing” refers to the end of the apparatus that iscloser to the user and the term “distal” or “leading” refers to the endof the apparatus that is farther from the user. In the figures and inthe description that follows, like reference numerals identify similaror identical elements. In the following description, well-knownfunctions or constructions are not described in detail to avoidobscuring the present disclosure in unnecessary detail.

A surgical portal apparatus 100 will now be described with reference toFIGS. 1-2B. An example of a housing member is disclosed in commonlyassigned U.S. patent application Ser. No. 12/244,024, filed Oct. 2,2008, the entire contents of which is hereby incorporated herein byreference.

The surgical portal apparatus 100 includes a housing member 102, whichincludes a plurality of longitudinally extending ports 106 a-c and alongitudinally extending cleaning port 130. The surgical portalapparatus 100 is configured and adapted to be placed within an opening“W”, e.g., an incision or a naturally occurring bodily orifice (e.g.,mouth, anus, or vagina), within tissue “T”. To facilitate anchoring ofthe housing member 102 within opening “W” of tissue “T”, the housingmember 102 may define a substantially hourglass configuration. Inparticular, trailing and leading sections 108, 110 may be flanged suchthat the trailing and leading sections have radial dimensions greaterthan the radial dimension of opening “W”.

The housing member 102 is adapted to establish a substantially sealedrelationship within the opening “W” within tissue “T”. The housingmember 102 may be formed from a compressible and/or flexible material,e.g., a suitable foam or gel, having sufficient compliance to form aseal about one or more surgical instruments 180 (FIGS. 2A and 2B) placedwithin ports 106 a-c, and a cleaning device 135 placed within thecleaning port 130. The compressible and/or flexible material may also besufficiently compliant to facilitate off-axis movement of surgicalinstruments 180 placed within respective ports 106 a-c. In addition, thecompressible and/or flexible material facilitates establishing asubstantial seal between the housing member 102 and the opening “W”. Inparticular, the housing member 102 may be compressed to a compressedstate during or prior to insertion of the housing member 102 into theopening “W”. In the compressed state, the housing member 102 may have aradial dimension less than that of the opening “W”. Once placed withinthe opening “W”, the natural biasing force of the material of thehousing member 102 will transition the housing member 102 toward theinitial, larger radial dimension. This biasing force facilitates thesealed relation between the housing member 102 and the opening “W”.Examples of compressible and/or flexible materials suitable for suchapplications include, but are not limited to, polyisoprene andelastomeric materials.

A method of introducing the surgical portal apparatus 100 within theopening “W” within tissue “T” includes positioning the leading end 110of housing member 102 within opening “W” and advancing the leading end110 to a predetermined depth (FIG. 1). Once the housing member 102 ispositioned within the opening “W”, e.g., with trailing and leading ends108, 110 of the housing member 102 on opposed sides of the body wall,e.g., the abdominal cavity wall, housing member 102 expands toward itsinitial, expanded condition in sealed engagement with the tissuedefining the opening “W”. Surgical instruments 180 are inserted intorespective ports 106 a-e and the cleaning device 135 is placed withinthe cleaning port 130.

Once the housing member 102 is placed within the opening “W” of tissue“T”, it may be desirable to maintain an enlarged surgical work space. Tofacilitate maintenance of an enlarged surgical work space, the housingmember 102 may also include an insufflation conduit 107 that isoperatively coupled to a source of insufflation fluid, e.g., CO₂, thatcommunicates insufflation fluid to an underlying tissue site “TS”,through an outlet 114, to facilitate maintenance of the enlargedsurgical work space.

Each lumen 106 a-c of the housing member 102 may be configured andadapted to receive a surgical instrument 180, e.g., a viewinginstrument, (FIGS. 2A-2B) in a substantially sealed relationship.Although depicted as including three ports 106 a-c configured andadapted to receive surgical instruments 180 therein, the housing member102 may include a greater or lesser number of lumens that are adaptedand configured to receive surgical instruments. Moreover, the ports 106a-c may define a plurality of differently sized diameters. For example,the ports 106 a-c may be sized from about 5 mm to about 15 mm. Uponintroduction of the surgical instrument 180 through one of the ports 106a-c, the inner surface portions defining the one of the ports 106 a-cestablishes and maintains a substantial sealed relation about thesurgical instrument 180.

A cleaning device 135 (FIG. 3) is configured and adapted to be receivedwithin cleaning port 130 of the housing member 102. The cleaning device135 is configured and adapted to remove debris and/or moisture from thesurgical instrument 180, e.g., a viewing instrument. For example, thecleaning device 135 may remove debris and/or moisture from a viewingportion, e.g., a lens, of surgical instrument 180.

As shown in FIG. 3, the cleaning device 135 includes an elongated shaft145, a handle 140 positioned at a first end 146 of the elongated shaft145, and a cleaning element 150 positioned at a second end 147 of theelongated shaft 145. The cleaning element 150 may be formed from abiocompatible polymer. In other embodiments, the cleaning element 150may be formed from an absorbable sponge or an absorbable shape memorypolymer. In an embodiment, the cleaning element 150 may be impregnatedwith a cleaning substance or solution.

In an embodiment, as shown in FIG. 3A, a cleaning device 135B mayinclude elongated shaft 145 including first end 146 and second end 147.The cleaning device 135B may be substituted for the cleaning device 135of surgical portal apparatus 100. The use and operation of the cleaningdevice 135B is substantially similar to that of cleaning device 135,except in the following respects that will now be described. Thecleaning device 135 includes handle 140 that is coupled to the elongatedshaft 145 at the first end 146. In addition, a cleaning element 150 a iscoupled to the elongated handle 145 at the second end 147. Unlike thecleaning device 135, the cleaning device 135B may include a fluid “F”,e.g., a cleaning fluid, that is contained within a reservoir definedwithin the elongated shaft 145. An actuator 141 operatively coupled tothe handle 140 may effect a discharge of the fluid “F” through one ormore fluid outlets 143 included in the cleaning element 150 a. Theactuator 141 may effect the discharge of the fluid “F” through the oneor more fluid outlets 143 by increasing the pressure within thereservoir defined by the elongated shaft 145. The fluid “F” may beselectively discharged from the fluid outlets 143 to facilitate cleaningof the surgical instrument 180 positioned in a port 106 a-c.

The cleaning element 150, 150 a may be a patch or mesh produced fromfibers of any biocompatible polymer using any techniques known to thoseskilled in the art, such as knitting, weaving, tatting, employingnon-woven techniques, freeze drying, solvent casting, and the like. Itis envisioned that the cleaning element 150 may be formed from anypermanent biocompatible materials (e.g., polyesters, polypropylene),biodegradable biocompatible materials (e.g., polylactic acid,polyglycolic acid, oxidized cellulose, and chitosan) or with acombination of both permanent and biodegradable materials, as well asbiocompatible polymers listed above.

Examples of polymeric cleaning element 150, 150 a may further includenonabsorbable polyester cloth, polyester sheeting, acrylic cloth,polyvinyl sponge or foam, polytetrafluroethylene (PTFE), expanded PTFE,and polyvinyl cloth. In other embodiments, the cleaning element 150 is amesh, e.g., polypropylene mesh, nylon mesh, and DACRON mesh. Exemplaryabsorbable meshes include collagen, polyglycolic acid, polyglactin,polycaprolactone, chitosan, and carbon fiber mesh. It should beunderstood that any of the above-mentioned biocompatible polymers may besuitable for use herein.

The cleaning element 150, 150 a may, for example, have an openworkthree-dimensional (“3D”) structure, e.g., a “honeycomb” structure, andthus a certain thickness separating the two surfaces of the fabric. Theshape of the cleaning element 150 may be circular, rectangular,oval-shaped, hook-style, or with any combination thereof. The elongatedshaft 145 and handle 140 may be formed, for example, from a polymerselected from a group consisting of nylon, polyvinyl chloride,polytetrafluoroethylene, and combinations thereof.

As shown best in FIGS. 2A and 2B, the cleaning device 135 is positionedwithin cleaning port 130. The longitudinally extending cleaning port 130may include a first section 131 defining a first diameter and a secondsection 133 defining a second diameter. The first diameter 133 may bedimensioned to substantially approximate the diameter of the elongatedshaft 145 of the cleaning device 135 to provide stabilization of theelongated shaft 145 and to maintain an insufflated workspace. Theelongated shaft 145 is axially translatable through the cleaning port130 and is rotatable about longitudinal axis A of the cleaning port 130.The cleaning port 130 may also include a second section 133 defining asecond diameter 133 dimensioned to substantially approximating thediameter of the cleaning element 150.

As shown in FIGS. 2A and 2B, the surgical instrument 180 includes aviewing portion 185. The surgical instrument 180 may be positionedwithin any of the ports 106 a-c. As shown in FIGS. 2A and 2B, thesurgical instrument 180 is positioned within port 106 c. The use andoperation of the cleaning device 135 to facilitate removal of debrisand/or moisture from the viewing portion 185 of the surgical instrument180 positioned within one of the ports 106 a-c will now be described.

As shown in FIG. 2A, the cleaning device 135 is positioned withincleaning port 130 such that the cleaning element 150 is fully orsubstantially retracted within the second section 133 of the cleaningport 130. The distal advancement of the cleaning device 135 throughcleaning port 130 distally slides the cleaning element 150 through thesecond section 133. The cleaning element 150 may be transitionablebetween a compressed diameter and an expanded diameter, and may bebiased toward the expanded diameter. Accordingly, upon distaltranslation through and out from the cleaning port 130, the cleaningelement 150 may transition toward the expanded diameter, thereby cominginto contact with instrument 180 positioned within one of ports 106 a-c.

Furthermore, the instrument 180 may be rotated or positioned such thatthe viewing portion 185 of the instrument 180 comes into contact withthe cleaning element 180. Once contact between the viewing portion 185and the cleaning element 150 has been made, the cleaning device 135 maybe rotated to effect sliding of the cleaning element 150 across theviewing portion 185. The cleaning device 135 may also be alternativelyproximally withdrawn and distally translated within the cleaning port130 to effect sliding of the cleaning element 150 across the viewingportion 185. The frictional contact between the cleaning element 150 andthe viewing portion 185 facilitates cleaning, e.g., removal of debrisand/or moisture, of the viewing portion 185 of the instrument 180. Oncethe instrument 180, and in particular viewing portion 185, has beencleaned, the cleaning device 135 may be retracted by proximallytranslating the cleaning device 135 through the cleaning port 130.

Another embodiment of a surgical portal apparatus will now be describedwith reference to FIGS. 4-6. The surgical portal apparatus 100A, shownin FIGS. 4-6, is substantially similar to the surgical portal apparatus100 except in the following ways, which will now be described. Inparticular, the surgical portal apparatus 100A includes a cleaningdevice 135A that is substantially similar to the cleaning device 135,except in the following respects which will now be described.

In particular, the cleaning device 135A may include a cleaning element160 disposed at the distal end 147 of the elongated shaft 145. Thecleaning element 160 includes one or more deployable wings 161, 163. Theone or more wings 161, 163 of the cleaning element 160 are biased towarda deployed condition, as shown in FIG. 5. In the deployed condition, thewings 161, 163 are substantially orthogonal to longitudinal axis A andare positioned distal to the distal end of at least one port 106 a-c.With the wings 161, 163 deployed, as shown in FIG. 5, the wings 161, 163are positioned to contact the viewing portion 185 of the instrument 180.Although shown as including two wings 161, 163, the cleaning device 135Amay include a greater or lesser number of wings. The cleaning device135A may be rotated about longitudinal axis A to bring the cleaningelement 160 into contact with the viewing portion 185 of instrument 180,and to effect a sliding engagement between the wings 161, 163 and theviewing portion 185 to thereby facilitate removal of debris and/ormoisture from the viewing portion 185.

As shown in FIGS. 4 and 6, when the cleaning device 135A is retractedwithin the second section 133 of the cleaning port 130, the wings 161,163 are folded and compressed within the second section 133. Inparticular, as shown in FIG. 4, the wings 161, 163 may be folded in aproximal direction. Alternatively, as shown in FIG. 6, the wings 161,163 may be folded in a distal direction. In particular, prior todeployment of the wings 161, 163, the wings 161, 163 may be folded inthe proximal direction (FIG. 4) to facilitate initial deployment of thewings 161, 163. Subsequent to the initial deployment, the wings 161, 163may fold distally (FIG. 6). Thereafter, the cleaning device 135A may berepeatedly deployed (FIG. 5) and retracted as shown in FIG. 6, asdesired.

Moreover, the wings 161, 163 of the cleaning element 160 may be bent atan angle between about zero degrees (0°) to about ninety degrees (90°)to make it easier to clean surgical object's components, such as viewingportion 185 of instrument 180. In an embodiment, the cleaning elementand/or its wings 161, 163 may be formed from a shape memory polymer,e.g., a material that is capable of being temporarily deformed bymechanical force and then caused to revert back to an original shapewhen stimulated by energy.

Another embodiment of a surgical portal apparatus will now be describedwith reference to FIGS. 7-9. The surgical portal apparatus 200,illustrated in FIGS. 7-9, is substantially similar to the surgicalportal apparatus 100 described above, except in the following respectswhich will now be described.

The surgical portal apparatus 200 includes a housing member 202 and aninner member 204. The inner member 204 includes a cleaning port 230 thatis substantially similar to cleaning port 130 described above and isconfigured and adapted to receive a cleaning device 135, 135Atherethrough. In addition, the inner member includes one or morelongitudinally extending ports 206 a-c that are adapted and configuredto receive instruments therethrough, e.g., instrument 180. The ports 206a-c may form a substantial seal about the instruments inserted withinthe ports 206 a-c.

As shown in FIGS. 8-9, the housing member 202 includes trailing andleading ends 208, 210, respectively, and an intermediate section 212disposed therebetween. Additionally, as described above with respect tosurgical portal apparatus 100, the housing member 202 may also includeinsufflation conduit 107, which is operatively coupled to source S ofinsufflation fluid, e.g., CO₂, that provides and maintains a flow ofinsufflation fluid through outlet 114 into the underlying tissue site“TS” (FIG. 7).

The housing member 202 (FIG. 8) may define an hour-glass configuration,as shown, to facilitate anchoring of the housing member within opening“W” within tissue “T”. The housing member 202 includes a longitudinallyextending passage 220 adapted and configured for the reception of theinner member 204 (FIG. 9) therein. Upon insertion of the inner member204 within the passage 220, the inner member 204 compresses to fitwithin the passage 220 in a substantially sealed relation. When innermember 204 is located within the longitudinal passage 120 of housingmember 102, e.g., with leading and trailing ends 218, 216 of the innermember 204 on opposed sides of the body wall (e.g., the abdominal cavitywall), inner member 204 expands toward its normal expanded condition(which it naturally biases towards regardless of its position relativeto the longitudinal passage 220) in sealed engagement with the innerboundary of longitudinal passage 220 of housing member 202. In anembodiment, the inner member 204 may be rotated relative to longitudinalaxis A of the housing member 202 when the inner member 204 is positionedwithin the housing member 202 (FIG. 7).

Although the cleaning element 150, 150 a, 160 is described as cleaningthe viewing portion 185 of instrument 180, it should be understood thatthe cleaning element 150 may clean other surgical instruments or partsof surgical instruments, e.g., a light source (not shown).

Although the illustrative embodiments of the present disclosure havebeen described herein with reference to the accompanying drawings, theabove description, disclosure, and figures should not be construed aslimiting, but merely as exemplifications of particular embodiments. Itis to be understood, therefore, that the disclosure is not limited tothose precise embodiments, and that various other changes andmodifications may be effected therein by one skilled in the art withoutdeparting from the scope or spirit of the disclosure.

What is claimed is:
 1. A surgical portal apparatus, comprising: acleaning device including an elongated shaft and a cleaning elementextending distally from the elongated shaft; and a housing memberdefining a longitudinal passage, the housing member including proximaland distal ends; and an inner member configured to be received in thelongitudinal passage of the housing member, the entire inner memberextending from a proximal-most end to a distal-most end of the housingmember, the inner member transitionable between a compressed conditionand an expanded condition, the inner member including a cleaning portconfigured to receive at least a portion of the cleaning device, and aninstrument port configured to receive a surgical instrumenttherethrough, wherein the cleaning element is configured to clean atleast a portion of the surgical instrument extending through theinstrument port of the inner member.
 2. The surgical portal apparatusaccording to claim 1, wherein the inner member is rotatable when theinner member is positioned within the longitudinal passage.
 3. Thesurgical portal apparatus according to claim 1, wherein the housingmember includes an insufflation conduit configured to be coupled to aninsufflation fluid source.
 4. The surgical portal apparatus according toclaim 1, wherein the inner member is biased toward the expandedcondition.
 5. The surgical portal apparatus according to claim 1,wherein the inner member is in a sealing relation with the housingmember when the inner member is received in the longitudinal passage ofthe housing member.
 6. The surgical portal apparatus according to claim1, wherein the cleaning device includes a reservoir having a cleaningfluid.
 7. The surgical portal apparatus according to claim 6, whereinthe cleaning element includes a plurality of fluid outlets configured todischarge the cleaning fluid.
 8. The surgical portal apparatus accordingto claim 1, wherein the cleaning element is a patch or a mesh formedfrom a biocompatible polymer.
 9. The surgical portal apparatus accordingto claim 1, wherein the housing member defines an hourglassconfiguration.
 10. The surgical portal apparatus according to claim 1,wherein the instrument port is configured to receive the surgicalinstrument in a sealing relation.
 11. A surgical portal apparatus,comprising: a cleaning device including an elongated shaft and acleaning element, the cleaning element including first and second ends,the elongated shaft coupled to the cleaning element between the firstand second ends; a housing member defining a longitudinal passage, thehousing member including proximal and distal ends; and an inner memberconfigured to be received in the longitudinal passage of the housingmember, the entire inner member extending from a proximal-most end to adistal-most end of the housing member, the inner member transitionablebetween a compressed condition and an expanded condition, the innermember including a cleaning port configured to receive at least aportion of the cleaning device therethrough, and an instrument portconfigured to receive a surgical instrument therethrough in a sealingrelation, wherein the cleaning device is transitionable between aretracted position in which the cleaning element is positioned withinthe cleaning port and a deployed position in which at least one of thefirst or second ends of the cleaning element is in registration with theinstrument port of the inner member, the cleaning element extendingdistally from the elongated shaft when the cleaning device is in thedeployed position.
 12. The surgical portal apparatus according to claim11, wherein the housing member includes an insufflation conduit coupledto an insufflation fluid source.
 13. The surgical portal apparatusaccording to claim 11, wherein the inner member is biased toward theexpanded condition.
 14. The surgical portal apparatus according to claim11, wherein the inner member is in a sealing relation with the housingmember when the inner member is received in the longitudinal passage ofthe housing member.
 15. The surgical portal apparatus according to claim11, wherein the inner member is rotatable when the inner member ispositioned within the longitudinal passage of the housing member. 16.The surgical portal apparatus according to claim 11, wherein thecleaning port defines a longitudinal axis, the cleaning devicetranslatable along the longitudinal axis.
 17. The surgical portalapparatus according to claim 11, wherein the cleaning port defines alongitudinal axis, the cleaning device rotatable about the longitudinalaxis.
 18. The surgical portal apparatus according to claim 11, whereinthe cleaning element is formed from an absorbable material.
 19. Thesurgical portal apparatus according to claim 1, wherein the cleaningelement is in registration with the instrument port when the cleaningdevice extends through a distal end of the cleaning port.